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<h4>Add Location</h4>
 <form action="" method="get" enctype="multipart/form-data" name="addLocation" target="_self" id="addLocation">
<table>
<tr>
    <td class="right"><label for="locationCode">Enter Location Code</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="locationCode" id="locationCode" tabindex="1" /></td>
  </tr>
<tr>
    <td class="right"><label for="name">Name</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="text" name="name" id="name" tabindex="2" /></td>
</tr>
<tr>
    <td class="right"><label for="category">Category</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="category" size="1" tabindex="3" id="category">
	<option selected>-select-</option>
	<option>Ashram</option>
	<option>Naam-Charcha-Ghar</option>
	</select>
    </td>
</tr>

<tr>
    <td class="right"><label for="address">Address</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><textarea rows="4" name="address" cols="23" tabindex="4" id="address"></textarea></td>
  </tr>
<tr>
    <td class="right"><label for="block">Tehsil/Block</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="block" size="1" tabindex="5" id="block">
	<option>-select-</option>
	<option>Tehsil/Block</option>
	</select></td>
</tr>
<tr>
    <td class="right"><label for="district">District</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="district" size="1" tabindex="6" id="district">
	<option>-select-</option>
	<option>District</option>
	</select></td>
</tr>
<tr>
    <td class="right"><label for="state">State</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="state" size="1" tabindex="7" id="state">
	<option>-select-</option>
	<option>State</option>
	</select></td>
</tr>
<tr>
    <td class="right"><label for="country">Country</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><select name="country" size="1" tabindex="8" id="country">
	<option>-select-</option>
	<option>Country</option>
	</select></td>
</tr>
<tr>
    <td class="right"><label for="landarea">Land In Area</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="landarea"  tabindex="9"  id="landarea" />
	(Sq.Ft.)</td>
</tr>
<tr>
    <td class="right"><label for="landterm">Land Term</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="landterm"  tabindex="10" id="landterm" /></td>
</tr>
<tr>
    <td class="right"><label for="landtype">Land Type</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<select name="landtype" size="1" tabindex="11" id="landtype">
	<option>-select-</option>
	<option>Full Irrigation</option>
	<option>Semi Irrigation</option>
	<option>Waste Land</option>
	<option>Garden Land</option>
	</select></td>
</tr>
<tr>
    <td class="right"><label for="runningft">Running ft.</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<select name="runningft" size="1" tabindex="12" id="runningft">
	<option>-select-</option>
	<option>Running ft</option>
	<option>Boundary wall</option>
	</select></td>
</tr>
<tr>
    <td class="right"><label for="coveredarea">Covered Area</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="coveredarea" tabindex="13" id="coveredarea" />
	(Sq.Ft.)</td>
</tr>
<tr>
    <td class="right"><label for="registeredname">Registered on Name</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="registeredname"  tabindex="14" id="registeredname" /></td>
</tr>
<tr>
    <td class="right"><label for="registerationno">Registration No.</label> </td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="registerationno"  tabindex="15" id="registerationno" /></td>
</tr>
<tr>
    <td class="right"><label for="registereddate">Registration Date</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="registereddate"  tabindex="16" id="registereddate" /> 
	(dd/mm/yyyy)</td>
</tr>
<tr>
    <td class="right"><label for="subregistrar">Sub Registrar</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="subregistrar"  tabindex="17" id="subregistrar" /></td>
</tr>
<tr>
    <td class="right"><label for="estvalue">Estimated Values</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="estvalue"  tabindex="18" id="estvalue"  />
	Rs/-</td>
</tr>
<tr>
    <td class="right"><label for="stmpexp">Stamp Expenditure</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="stmpexp"  tabindex="19"  id="stmpexp" />
	Rs/-</td>
</tr>
<tr>
    <td class="right"><label for="otherexp">Other Expenditure</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="otherexp"  tabindex="20" id="otherexp" />
	Rs/-</td>
</tr>
<tr>
    <td class="right"><label for="regholder">Registry Holder</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="regholder"  tabindex="21"  id="regholder" /></td>
</tr>
<tr>
    <td class="right"><label for="regcopy">Registry Copy</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="file" name="regcopy" size="50" tabindex="22" id="regcopy"></td>
</tr>
<tr>
    <td class="right"><label for="buildingmap">Building Map</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="file" name="buildingmap" size="50" tabindex="23" id="buildingmap"></td>
</tr>
<tr>
    <td class="right"><label for="CanteenOption">Canteen Available</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"> <label for="CanteenOption">Yes</label>
    <input type="radio" name="CanteenOption" value="yes" tabindex="24" id="CanteenOption">
    <label for="CanteenOption">No</label>
    <input type="radio" name="CanteenOption" value="no" tabindex="25" id="CanteenOption">
    </td>
</tr>
<tr>
    <td class="right"><label for="lndmark">Land Mark</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="lndmark"  tabindex="26" id="lndmark" /></td>
</tr>
<tr>
    <td class="right"><label for="distance">Distance from main road</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="distance"  tabindex="27"  id="distance" /> 
	(K.M.)</td>
</tr>
<tr>
    <td class="right"><label for="responsible">Responsible Person</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="responsible"  tabindex="28" id="responsible" /></td>
</tr>
<tr>
    <td class="right"><label for="status">Status</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<select name="status" size="1" tabindex="29" id="status">
	<option>Approved</option>
	<option>Rejected</option>
	<option>Initiated</option>
	</select></td>
</tr>
<tr>
    <td class="right"><label for="balance">Total Balance</label></td>
    <td class="left">&nbsp;</td>
    <td class="left">
	<input type="text" name="balance"  tabindex="30" id="balance" /> 
	Rs/-</td>
</tr>



<tr>
    <td class="right">&nbsp;</td>
    <td class="left">&nbsp;</td>
    <td class="left">&nbsp;</td>
  </tr>
<tr>
    <td class="right">Upload Image &amp; Video</td>
    <td class="left">&nbsp;</td>
    <td class="left">&nbsp;</td>
</tr>
<tr>
    <td class="right"><label for="uploadImage">Image</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="file" name="uploadImage" size="50" tabindex="22" id="uploadImage" /></td>
</tr>
<tr>
    <td class="right"><label for="uploadVideo">Video</label></td>
    <td class="left">&nbsp;</td>
    <td class="left"><input type="file" name="uploadVideo" size="50" tabindex="23" id="uploadVideo" /></td>
</tr>
<tr>
  <td class="right">&nbsp;</td>
  <td class="left">&nbsp;</td>
  <td class="left">&nbsp;</td>
</tr>
<tr>
  <td class="right">&nbsp;</td>
  <td class="left">&nbsp;</td>
  <td class="left"><input type="submit" name="Add" value="Add" tabindex="31" id="Add" />
    <input type="reset" value="Reset" name="reset" tabindex="32" id="reset" /></td>
</tr>
</table>
 <p>&nbsp;</p>
 </form>
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&copy; Copyright 2011. Dera Sacha Sauda, Sirsa-125055 (Haryana)
<br />
Designed By: DSS IT WING</div>
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